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Evaluating Sam Franklin's Case from the Perspective of Role Theory STUDENT'S NAME INSTITUTIONAL AFFILIATION COURSE DETAILS INSTRUCTOR'S NAME DUE DATE
Introduction Role theory emphasize on social positions individuals have and the behavior linked to those positions. Roles have risks and merits depending on individual characteristics, cultural context, and historical time. Sam Franklin is an ex-militant, husband, father, and family provider, and he assumes the family patriarch role of his deceased father. Maintaining these roles motivates him to seek health care although he hides his mental health from them.
The presenting problem Sam Franklin visits the Veterans Affairs Health Care Center (VA) for help. The major problem is that Sam fails to perform his family role being the primary provider. As a father, he drinks uncontrollably and lacks involvement in his sons' lives (Miles (10) and Raymond (8)) As a husband, he is mean and distant to his wife.
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Sam Franklin relevant roles Husband to Sheri. Father to Miles (10) and Raymond (8) Ex-Iraqi War veteran Human resources director for the military. Primary provider to his family. Family patriarch role of his deceased father to his three older sisters.
Social expectations and social and cultural norms Social expectations: society expects the man of the house to support and provide for his family. Social and cultural norms: Strong men never display their weakness and must head their family. This requires a man to show that he is healthy and robust to work to support his family. Accordingly, Sam fears his state may affect his role as the family provider.
The role and social position of the social worker in working with the client Assess, diagnose, treat, and manage the client's condition (The U.S. Department of Veterans Affairs, 2023). Coordinate different services the client may require and direct how to obtain them. Patient education on veterans' programs, such as Individual and family therapy. Social position: Trained professional to boost others' quality of life and well-being.
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The role(s) and social position(s) influence the relationship between the social worker and the client Appropriate assessment of the client's need and implementation of action will build trust between the two. It will also enhance consistent communication on adjusting to the client's life changes. Advocate for coordinated efforts to access essential support and resources. Enhance regular consultation between the two to follow up on the client's welfare.
Three assessment questions guided by role theory to comprehend the problem What are the current flashbacks, and how do you cope with such incidents at workplace and home? Have you had any support and guidance and what are your thoughts about the impacts of the condition on your role functioning, and what change would you like to encounter? What change do you anticipate to enhance your involvement with your family and colleagues, and how would you want me to help you?
Interventions Psychotherapy • Individual therapy - to overcome the fear of failing to provide for his family, depression, alcohol misuse, poor relationship with others, and social withdrawal. Get occupational guidance • Family therapy - to address family problems and request their support towards the client's recovery. • Couple therapy – to address constant fights with the wife over his withdrawal from his sons'
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Cont.. Pharmacotherapy alongside effective patient education • Temporary relief medications for insomnia and recurring nightmares, like antidepressants and sedatives (Williams et al., 2022). • Use selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, paroxetine, and serotonin and norepinephrine reuptake inhibitors (SNRIs), like venlafaxine, to improve recurring PTSD symptoms.
One advantage and one limitation in using role theory Advantage • Considers the client's social determinants of health (SDOH) primarily, environment and work that affects their role functioning, identity, and interaction (Bailey & Yost, 2019). Disadvantage • Higher focus on social conformity regarding the client's role than an inquiry into social policies affecting the client's family and work duties.
Conclusion Role theory can be used to understand and manage a patient's case. It commences with some normative expectations alleged to explain certain statuses or positions within social structures and the corresponding behaviors and roles in a client's behavior. For Sam's PTSD, role theory helps understand the SDOH leading to his condition to devise appropriate interventions. Psychotherapy and pharmacology interventions selected, in this case, must enhance the client's role functioning.
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References Bailey., J. & Yost., J. (2019). Role Theory: Foundations, Extensions, and Applications. Encyclopedia.com. https://www.encyclopedia.com/social-sciences/encyclopedias-almanacs-transcripts- and-maps/role-theory-foundations-extensions-and-applications Ehret, M. (2019). Treatment of post-traumatic stress disorder: Focus on pharmacotherapy. Mental Health Clinician, 9 (6), 373-382. https://doi.org/10.9740/mhc.2019.11.373 The U.S. Department of Veterans Affairs (February 24, 2023). What VA Social Workers Do - VHA Social Work. https://www.socialwork.va.gov/socialworkers.asp#:~:text=The%20social%20 worker%20develops%20an%20assessment%20that%20will,the%20Veteran%20estab lish%20goals%20to%20meet%20long-term%20needs Williams, T., Phillips, N. J., Stein, D. J., & Ipser, J. C. (2022). Pharmacotherapy for post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, (3). https://doi.org/10.1002/14651858.cd002795.pub3

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